OBJECTIVES
To investigate if the PPARγ agonist pioglitazone modulates inflammation through PPARα mechanisms.
BACKGROUND
The thiazolidinediones (TZDs) pioglitazone and rosiglitazone are insulin-sensitizing PPARγ agonists used to treat type 2 diabetes (T2DM). Despite evidence for TZDs limiting inflammation and atherosclerosis, questions exist regarding differential responses to TZDs. In a double-blinded, placebo-controlled 16 week trial among recently diagnosed T2DM subjects (n=34), pioglitazone treated subjects manifest lower triglycerides (TG) and lacked the increase in soluble VCAM-1 (sVCAM-1) evident in the placebo group. Previously we reported PPARα but not PPARγ agonists could repress VCAM-1 expression. Since both TG-lowering and VCAM-1 repression characterize PPARα activation, we studied pioglitazone’s effects via PPARα.
METHODS
Pioglitazone effects on known PPARα responses - ligand binding domain (LBD) activation and PPARα target gene expression - were tested in vitro and in vivo, including in wildtype and PPARα-deficient cells and mice, and compared to other PPARγ (rosiglitazone) and PPARα (WY14643) agonists.
RESULTS
Pioglitazone repressed endothelial TNFα-induced VCAM-1 mRNA expression and promoter activity, and induced hepatic IκBα in a manner dependent on both pioglitazone exposure and PPARα expression. Pioglitazone also activated the PPARα LBD and induced PPARα target gene expression, with in vitro effects that were most pronounced in endothelial cells. In vivo, pioglitazone administration modulated sVCAM-1 levels and IκBα expression in wildtype but not PPARα-deficient mice.
CONCLUSIONS
Pioglitazone regulates inflammatory target genes in hepatic (IκBα) and endothelial (VCAM-1) settings in a PPARα-dependent manner. This data offers novel mechanisms that may underlie distinct TZD responses.